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Stock Comparison

AXSM vs MCK

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
AXSM
Axsome Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$11.46B
5Y Perf.+189.2%
MCK
McKesson Corporation

Medical - Distribution

HealthcareNYSE • US
Market Cap$91.09B
5Y Perf.+368.7%

AXSM vs MCK — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
AXSM logoAXSM
MCK logoMCK
IndustryBiotechnologyMedical - Distribution
Market Cap$11.46B$91.09B
Revenue (TTM)$708M$397.96B
Net Income (TTM)$-188M$4.34B
Gross Margin92.6%3.4%
Operating Margin-24.8%1.3%
Forward P/E19.1x
Total Debt$241M$7.39B
Cash & Equiv.$323M$5.69B

AXSM vs MCKLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

AXSM
MCK
StockMay 20May 26Return
Axsome Therapeutics… (AXSM)100289.2+189.2%
McKesson Corporation (MCK)100468.7+368.7%

Price return only. Dividends and distributions are not included.

Quick Verdict: AXSM vs MCK

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: MCK leads in 4 of 6 categories, making it the strongest pick for profitability and margin quality and capital preservation and lower volatility. Axsome Therapeutics, Inc. is the stronger pick specifically for growth and revenue expansion and recent price momentum and sentiment. As sector peers, any of these can serve as alternatives in the same allocation.
AXSM
Axsome Therapeutics, Inc.
The Growth Play

AXSM is the clearest fit if your priority is growth exposure and long-term compounding.

  • Rev growth 65.5%, EPS growth 38.6%, 3Y rev CAGR 133.7%
  • 18.6% 10Y total return vs MCK's 351.9%
  • 65.5% revenue growth vs MCK's 16.2%
Best for: growth exposure and long-term compounding
MCK
McKesson Corporation
The Income Pick

MCK carries the broadest edge in this set and is the clearest fit for income & stability and sleep-well-at-night.

  • Dividend streak 17 yrs, beta 0.04, yield 0.4%
  • Lower volatility, beta 0.04, current ratio 0.90x
  • Beta 0.04, yield 0.4%, current ratio 0.90x
Best for: income & stability and sleep-well-at-night
See the full category breakdown
CategoryWinnerWhy
GrowthAXSM logoAXSM65.5% revenue growth vs MCK's 16.2%
Quality / MarginsMCK logoMCK1.1% margin vs AXSM's -26.6%
Stability / SafetyMCK logoMCKBeta 0.04 vs AXSM's 0.69
DividendsMCK logoMCK0.4% yield; 17-year raise streak; the other pay no meaningful dividend
Momentum (1Y)AXSM logoAXSM+98.5% vs MCK's +5.0%
Efficiency (ROA)MCK logoMCK5.3% ROA vs AXSM's -27.8%, ROIC 5.4% vs -19.1%

AXSM vs MCK — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

AXSMAxsome Therapeutics, Inc.
FY 2025
Product
100.0%$634M
MCKMcKesson Corporation
FY 2025
U.S. Pharmaceutical Segment
91.3%$327.7B
International Segment
4.1%$14.7B
Medical-Surgical Solutions Segment
3.2%$11.4B
Prescription Technology Solutions
1.5%$5.2B

AXSM vs MCK — Financial Metrics

Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLMCKLAGGINGAXSM

Income & Cash Flow (Last 12 Months)

MCK leads this category, winning 4 of 6 comparable metrics.

MCK is the larger business by revenue, generating $398.0B annually — 561.9x AXSM's $708M. MCK is the more profitable business, keeping 1.1% of every revenue dollar as net income compared to AXSM's -26.6%. On growth, AXSM holds the edge at +57.4% YoY revenue growth, suggesting stronger near-term business momentum.

MetricAXSM logoAXSMAxsome Therapeuti…MCK logoMCKMcKesson Corporat…
RevenueTrailing 12 months$708M$398.0B
EBITDAEarnings before interest/tax-$167M$5.8B
Net IncomeAfter-tax profit-$188M$4.3B
Free Cash FlowCash after capex-$71M$10.1B
Gross MarginGross profit ÷ Revenue+92.6%+3.4%
Operating MarginEBIT ÷ Revenue-24.8%+1.3%
Net MarginNet income ÷ Revenue-26.6%+1.1%
FCF MarginFCF ÷ Revenue-10.0%+2.5%
Rev. Growth (YoY)Latest quarter vs prior year+57.4%+11.4%
EPS Growth (YoY)Latest quarter vs prior year-3.3%+38.2%
MCK leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

Evenly matched — AXSM and MCK each lead in 1 of 2 comparable metrics.
MetricAXSM logoAXSMAxsome Therapeuti…MCK logoMCKMcKesson Corporat…
Market CapShares × price$11.5B$91.1B
Enterprise ValueMkt cap + debt − cash$11.4B$92.8B
Trailing P/EPrice ÷ TTM EPS-60.50x28.91x
Forward P/EPrice ÷ next-FY EPS est.19.06x
PEG RatioP/E ÷ EPS growth rate0.74x
EV / EBITDAEnterprise value multiple18.53x
Price / SalesMarket cap ÷ Revenue17.94x0.25x
Price / BookPrice ÷ Book value/share125.43x
Price / FCFMarket cap ÷ FCF17.43x
Evenly matched — AXSM and MCK each lead in 1 of 2 comparable metrics.

Profitability & Efficiency

MCK leads this category, winning 5 of 7 comparable metrics.

On the Piotroski fundamental quality scale (0–9), MCK scores 6/9 vs AXSM's 4/9, reflecting solid financial health.

MetricAXSM logoAXSMAxsome Therapeuti…MCK logoMCKMcKesson Corporat…
ROE (TTM)Return on equity-2.6%
ROA (TTM)Return on assets-27.8%+5.3%
ROICReturn on invested capital-19.1%+5.4%
ROCEReturn on capital employed-52.1%+30.5%
Piotroski ScoreFundamental quality 0–946
Debt / EquityFinancial leverage2.73x
Net DebtTotal debt minus cash-$82M$1.7B
Cash & Equiv.Liquid assets$323M$5.7B
Total DebtShort + long-term debt$241M$7.4B
Interest CoverageEBIT ÷ Interest expense-34.13x25.04x
MCK leads this category, winning 5 of 7 comparable metrics.

Total Returns (Dividends Reinvested)

AXSM leads this category, winning 5 of 6 comparable metrics.

A $10,000 investment in MCK five years ago would be worth $40,840 today (with dividends reinvested), compared to $39,501 for AXSM. Over the past 12 months, AXSM leads with a +98.5% total return vs MCK's +5.0%. The 3-year compound annual growth rate (CAGR) favors AXSM at 42.0% vs MCK's 26.8% — a key indicator of consistent wealth creation.

MetricAXSM logoAXSMAxsome Therapeuti…MCK logoMCKMcKesson Corporat…
YTD ReturnYear-to-date+24.6%-9.6%
1-Year ReturnPast 12 months+98.5%+5.0%
3-Year ReturnCumulative with dividends+186.4%+104.0%
5-Year ReturnCumulative with dividends+295.0%+308.4%
10-Year ReturnCumulative with dividends+1858.0%+351.9%
CAGR (3Y)Annualised 3-year return+42.0%+26.8%
AXSM leads this category, winning 5 of 6 comparable metrics.

Risk & Volatility

Evenly matched — AXSM and MCK each lead in 1 of 2 comparable metrics.

MCK is the less volatile stock with a 0.04 beta — it tends to amplify market swings less than AXSM's 0.69 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. AXSM currently trades 95.2% from its 52-week high vs MCK's 74.4% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricAXSM logoAXSMAxsome Therapeuti…MCK logoMCKMcKesson Corporat…
Beta (5Y)Sensitivity to S&P 5000.69x0.04x
52-Week HighHighest price in past year$233.75$999.00
52-Week LowLowest price in past year$96.09$637.00
% of 52W HighCurrent price vs 52-week peak+95.2%+74.4%
RSI (14)Momentum oscillator 0–10079.425.8
Avg Volume (50D)Average daily shares traded669K737K
Evenly matched — AXSM and MCK each lead in 1 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Wall Street rates AXSM as "Buy" and MCK as "Buy". Consensus price targets imply 35.3% upside for MCK (target: $1007) vs 1.5% for AXSM (target: $226). MCK is the only dividend payer here at 0.36% yield — a key consideration for income-focused portfolios.

MetricAXSM logoAXSMAxsome Therapeuti…MCK logoMCKMcKesson Corporat…
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$225.86$1006.50
# AnalystsCovering analysts2531
Dividend YieldAnnual dividend ÷ price+0.4%
Dividend StreakConsecutive years of raises17
Dividend / ShareAnnual DPS$2.69
Buyback YieldShare repurchases ÷ mkt cap0.0%+3.5%
Insufficient data to determine a leader in this category.
Key Takeaway

MCK leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). AXSM leads in 1 (Total Returns). 2 tied.

Best OverallMcKesson Corporation (MCK)Leads 2 of 6 categories
Loading custom metrics...

AXSM vs MCK: Frequently Asked Questions

9 questions · data-driven answers · updated daily

01

Is AXSM or MCK a better buy right now?

For growth investors, Axsome Therapeutics, Inc.

(AXSM) is the stronger pick with 65. 5% revenue growth year-over-year, versus 16. 2% for McKesson Corporation (MCK). McKesson Corporation (MCK) offers the better valuation at 28. 9x trailing P/E (19. 1x forward), making it the more compelling value choice. Analysts rate Axsome Therapeutics, Inc. (AXSM) a "Buy" — based on 25 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which is the better long-term investment — AXSM or MCK?

Over the past 5 years, McKesson Corporation (MCK) delivered a total return of +308.

4%, compared to +295. 0% for Axsome Therapeutics, Inc. (AXSM). Over 10 years, the gap is even starker: AXSM returned +1858% versus MCK's +351. 9%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

03

Which is safer — AXSM or MCK?

By beta (market sensitivity over 5 years), McKesson Corporation (MCK) is the lower-risk stock at 0.

04β versus Axsome Therapeutics, Inc. 's 0. 69β — meaning AXSM is approximately 1502% more volatile than MCK relative to the S&P 500.

04

Which is growing faster — AXSM or MCK?

By revenue growth (latest reported year), Axsome Therapeutics, Inc.

(AXSM) is pulling ahead at 65. 5% versus 16. 2% for McKesson Corporation (MCK). On earnings-per-share growth, the picture is similar: Axsome Therapeutics, Inc. grew EPS 38. 6% year-over-year, compared to 14. 9% for McKesson Corporation. Over a 3-year CAGR, AXSM leads at 133. 7% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

05

Which has better profit margins — AXSM or MCK?

McKesson Corporation (MCK) is the more profitable company, earning 0.

9% net margin versus -28. 7% for Axsome Therapeutics, Inc. — meaning it keeps 0. 9% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: MCK leads at 1. 2% versus -26. 5% for AXSM. At the gross margin level — before operating expenses — AXSM leads at 92. 6%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

06

Is AXSM or MCK more undervalued right now?

Analyst consensus price targets imply the most upside for MCK: 35.

3% to $1006. 50.

07

Which pays a better dividend — AXSM or MCK?

In this comparison, MCK (0.

4% yield) pays a dividend. AXSM does not pay a meaningful dividend and should not be held primarily for income.

08

Is AXSM or MCK better for a retirement portfolio?

For long-horizon retirement investors, Axsome Therapeutics, Inc.

(AXSM) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 69), +1858% 10Y return). Both have compounded well over 10 years (AXSM: +1858%, MCK: +351. 9%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

09

What are the main differences between AXSM and MCK?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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